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目的分析头皮冠状切口颞肌上入路治疗眶颧骨折的并发症发生情况,探讨其应用价值。方法采用头皮冠状切口颞肌上入路方法对206例眶颧骨折病例进行手术治疗,术后定期随访,分析其治疗效果和并发症发生情况。结果 206例患者的骨折断端均复位良好,面形和功能得到明显改善;未发生面神经损伤;1例发生颞区凹陷;11例术后切口区域疼痛或感觉异常,随时间推移逐渐恢复正常;1例术后发生感染,1例发生皮下血肿,经治疗后痊愈;5例切口瘢痕较宽,3例切口附近区域内出现少量脱发,但均未影响面容。结论头皮冠状切口颞肌上入路可有效避免损伤面神经,值得在临床推广。
Objective To analyze the complications of the treatment of orbital zygomatic fractures by the temporal scleral incision with coronal incision and to explore its application value. Methods 206 cases of orbital and zygomatic fractures were treated by sclerotomy and temporal myofascial approach. The patients were followed up regularly to analyze their therapeutic effects and complications. Results All 206 patients had a good reduction in the shape and function of the fracture, no facial nerve damage, 1 case of temporal recess and 11 cases of postoperative wound pain or abnormal sensation, which gradually returned to normal with the passage of time. One patient had postoperative infection, one had subcutaneous hematoma and recovered after treatment. Five patients had wide scar and few hair loss occurred in the area near the incision, but none of them affected the face. Conclusion The scalp coronal incision of the temporalis can effectively prevent facial nerve injury, it is worth in the clinical promotion.